Massive Ascites Caused by Primary Diffuse Large B-cell Lymphoma of the Jejunum: A Case of a Rare Initial Symptom

A 74-year-old man presented with abdominal swelling. Computed tomography revealed massive ascites and localized thickening of the small intestinal wall. Enteroscopy showed ulcerative lesions along the circumference of the jejunum. Histological examination showed dense proliferation of large lymphoid...

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Detalles Bibliográficos
Autores principales: Ota, Kazuhiro, Nishida, Shinya, Akutagawa, Hiroshi, Imai, Yoshiro, Tani, Kiri, Shinohara, Yoshinori, Iwatsubo, Taro, Shimpei, Kawaguchi, Kojima, Yuichi, Takeuchi, Toshihisa, Higuchi, Kazuhide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925287/
https://www.ncbi.nlm.nih.gov/pubmed/32863368
http://dx.doi.org/10.2169/internalmedicine.5516-20
Descripción
Sumario:A 74-year-old man presented with abdominal swelling. Computed tomography revealed massive ascites and localized thickening of the small intestinal wall. Enteroscopy showed ulcerative lesions along the circumference of the jejunum. Histological examination showed dense proliferation of large lymphoid atypical cells, and immunohistochemistry showed CD20 and CD10 positivity, CD3 negativity, and Ki67 labeling index >80%. Cytology of the ascitic fluid revealed large lymphoid cells. These findings suggest that small intestine primary diffuse large B-cell lymphoma (DLBCL) caused the ascites. Massive ascites as an initial symptom of primary DLBCL of the jejunum is rare. Herein, we describe this unusual presentation.

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